When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?
"I'm sure my child will feel better now that he can ride his bicycle."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
"I should take my child's rectal temperature daily."
"I should inspect my child's mouth for sores."
The Correct Answer is D
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
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Correct Answer is C
Explanation
. The nurse should include teaching stress management strategies as an activity for a faith-based community. Stress management is a crucial part of maintaining physical, emotional, and spiritual well-being. It can help prevent chronic illnesses, improve mental health, and enhance quality of life. Stress management techniques can include exercise, meditation, deep breathing, progressive muscle relaxation, and visualization. These techniques can be taught in a group setting, and the nurse can also provide resources for the community to use at home. Providing case management and offering primary care to uninsured members are not typically activities that a parish nurse would perform. These services are typically provided by social workers and primary care physicians. Changing a negative pressure wound therapy dressing is a specialized nursing intervention that is typically performed in an acute care setting and is not an appropriate activity for a faith-based community.
Correct Answer is A
Explanation
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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